| NPI | 1801504774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 134671) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 109448) |
| 101Y00000X Counselor (Licence: CA 109448) | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2025-10-24 |